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1.
Bioengineering (Basel) ; 11(7)2024 Jun 21.
Article de Anglais | MEDLINE | ID: mdl-39061720

RÉSUMÉ

In this work, the cell line SW620-GFP has been used in a complete magnetic hyperthermia assay, from the preparation of the ferrofluid with folate-coated iron oxide nanoparticles to in vivo experiments. The physical and chemical characterization of the nanoparticles evidenced their superparamagnetic behaviour, an average diameter of 12 ± 4 nm, a 2 nm coat thickness, and a high-power loss density. The main innovation of the work is the exclusive capability of viable SW620-GFP cells to emit fluorescence, enabling fast analysis of both, cell viability in vitro with an epifluorescence microscope and tumour size and shape in vivo in a non-invasive manner using the iBox technology. Moreover, with this imaging technique, it was possible to demonstrate the successful tumour size reduction in mice applying magnetic hyperthermia three times a week over 3 weeks.

2.
PLoS One ; 19(4): e0299520, 2024.
Article de Anglais | MEDLINE | ID: mdl-38573914

RÉSUMÉ

During the COVID-19 pandemic, the Ad5-nCoV vaccine was applied to the Mexican population before the WHO approved it. In a transversal study, we compare the CanSino vaccine efficacy and a natural SARS-CoV-2 infection in eliciting neutralizing antibodies against the SARS-CoV-2 Delta variant in Guadalajara, Mexico. Participants between 30-60 years were included in the study and classified into three groups: 1) Natural immunity (unvaccinated), 2) Vaccine-induced immunity (vaccinated individuals without a COVID-19 history), and 3) Natural immunity + vaccine-induced immunity. These groups were matched by age and gender. We assessed the ability of individuals' serum to neutralize the Delta variant and compared the results of the different groups using a neutralization test followed by plaque-forming units. Results showed that 39% of individuals' serum with a history of COVID-19 (natural immunity, Group 1) could not neutralize the Delta variant, compared to 33% in vaccinated individuals without COVID-19 (vaccine immunity, Group 2). In contrast, only 7% of vaccinated individuals with a history of COVID-19 (natural + vaccine immunities) could not neutralize the Delta variant. We concluded that the effectiveness of the Ad5-nCoV vaccine to induce neutralizing antibodies against the Delta variant is comparable to that of natural infection (61% vs. 67%). However, in individuals with both forms of immunity (Group 3), it increased to 93%. Based on these results, despite the Ad5-nCoV vaccine originally being designed as a single-dose regimen, it could be recommended that even those who have recovered from COVID-19 should consider vaccination to boost their immunity against this variant.


Sujet(s)
COVID-19 , SARS-CoV-2 , Humains , COVID-19/prévention et contrôle , Anticorps neutralisants , Mexique/épidémiologie , Pandémies , Vaccins contre la COVID-19 , Vaccination , Anticorps antiviraux
3.
Biomedicines ; 11(10)2023 Sep 28.
Article de Anglais | MEDLINE | ID: mdl-37893029

RÉSUMÉ

Cervical cancer (CC) is a serious global health issue, and it is well-known that HPV infection is the main etiological factor that triggers carcinogenesis. In cancer, chemokine ligands and receptors are involved in tumor cell growth, metastasis, leukocyte infiltration, and angiogenesis; however, information on the role played by E6/E7 of HPV16/18 in the modulation of chemokines is very limited. Therefore, this study aimed to determine whether chemokines are differentially expressed in CC-derived cell lines; if E6/E7 oncoproteins from HPV16 and 18 are capable of mediating chemokine expression, what is the expression profile of chemokines in tissues derived from CC and what is their impact on the overall survival of patients with this pathology? For this purpose, RNA sequencing and real-time PCR were performed on SiHa, HeLa, and C33A tumorigenic cell lines, on the non-tumorigenic HaCaT cells, and the E6/E7 HPV-transduced HaCaT cell models. Furthermore, chemokine expression and survival analysis were executed on 304 CC and 22 normal tissue samples from The Cancer Genome Atlas (TCGA) repository. The results demonstrate that CXCL1, CXCL2, CXCL3, and CXCL8 are regulated by E6/E7 of HPV16 and 18, are overexpressed in CC biopsies, and that their higher expression is related to a worse prognostic survival.

4.
Polymers (Basel) ; 15(18)2023 Sep 11.
Article de Anglais | MEDLINE | ID: mdl-37765581

RÉSUMÉ

Epidermal growth factor receptor 2 (HER2) is the second target molecule most commonly used in breast cancer treatment. Both recurrence and metastasis are still deadly for HER2+ breast cancer patients. Hydrogels can be an option for developing three-dimensional (3D) cell culture systems that resemble tumor features better than monolayer cultures and could be used for preclinical screening for new biotherapeutics. Biopolymers (gelatin and alginate) were used to develop a hydrogel capable of encapsulating living HER2+ breast cancer cells BT-474/GFP. The hydrogel was physicochemically characterized, and the viability of embedded cells was evaluated. The hydrogel developed had suitable physical properties, with swelling of 38% of its original mass at 20 h capacity and pore sizes between 20 and 125 µm that allowed cells to maintain their morphology in a 3D environment, in addition to being biocompatible and preserving 90% of cell viability at 10 days. Furthermore, encapsulated BT-474/GFP cells maintained HER2 expression that could be detected by the Trastuzumab-fluorescent antibody, so this hydrogel could be used to evaluate new HER2-targeted therapies.

5.
Zootaxa ; 5254(4): 517-533, 2023 Mar 14.
Article de Anglais | MEDLINE | ID: mdl-37044705

RÉSUMÉ

The larvae of Cora inca Selys, 1873 and Polythore gigantea (Selys, 1853) were found in first and second order forested streams at the Tatamá Natural National Park in the Colombian Western Andes. Their final larval stadia are here described and figured. Cora inca differs from the larvae of C. cyane Selys, 1853 and C. marina Selys, 1868 by a combination of features including presence of an irregular patch of minute, gray scales to each side of the ventral midline on the ventral pad of hypopharynx, paraprocts with five projections, and the position of epiproct and paraproct projections. On the other hand, the larva of P. gigantea differs from the larva of P. spaeteri Burmeister & Börzsöny, 2003 by antennal scape slightly shorter than 3rd antennomere, prementum 0.10x longer than its widest part, and the position of epiproct and paraproct projections. Although most of the larvae in the family Polythoridae are still unknown, here we discuss the main morphological characteristics that help to diagnose some of the genera in this family, presenting a regional taxonomic key that includes the genera Cora Selys, 1853, Euthore Selys, 1859, Miocora Calvert, 1917, and Polythore Calvert, 1917.


Sujet(s)
Odonata , Animaux , Larve/anatomie et histologie , Colombie , Forêts , Parcs de loisirs
6.
Zootaxa ; 5256(2): 195-200, 2023 Mar 17.
Article de Anglais | MEDLINE | ID: mdl-37045229

RÉSUMÉ

Some details of the morphology of the female of Heteragrion azulum Dunkle, 1989 are described for the first time such as the intersternite, and illustrated with high quality photographs, based upon two specimens collected in the tropical rain forest at the region of Los Tuxtlas, in the state of Veracruz, Mexico. A comparison with females of the other three species of Heteragrion Selys, 1862 occurring in Mexico is also provided. Additional data of males of H. azulum collected together with the females are also given, including some illustrations.


Sujet(s)
Odonata , Mâle , Femelle , Animaux , Odonata/anatomie et histologie , Forêt pluviale
7.
Odontol. Sanmarquina (Impr.) ; 25(2): e22707, abr.-jun. 2022.
Article de Espagnol | LILACS-Express | LILACS | ID: biblio-1368409

RÉSUMÉ

La sonrisa gingival (SG) es una condición clínica de etiología multifactorial, caracterizada por la sobreexposición de la encía maxilar, mayor de 3 mm, mientras el paciente sonríe. Es considerada una de las alteraciones más comunes en la población con una prevalencia de 10,5-29%, 7% en hombres y 14% en mujeres, en el grupo etário de 20-30 años. La literatura científica reporta diversos tratamientos quirúrgicos invasivos y mínimamente invasivos que pueden ser acompañados con planificación digital. El objetivo de este reporte de caso fue describir el tratamiento de SG por erupción pasiva alterada tipo I, subcategoría A e hipermovilidad de músculo elevador del labio superior, en paciente femenino corregido con procedimientos quirúrgicos y métodos conservadores como la toxina botulínica planificado digitalmente. El uso de planificación digital en la reducción de SG acompañada de técnicas conservadoras como toxina botulínica permiten realizar procedimientos con postoperatorios favorables, disminución en errores de la técnica con resultados predecibles, seguros, rápidos y consistentes de acuerdo a las expectativas del paciente


Gummy smile (GS) is a clinical condition of multifactorial etiology, characterized by overexposure of the maxillary gingiva greater than 3mm while the patient smiles. It is considered one of the most common alterations among the population with a prevalence between 10,5-29%, 7% in men and 14% in women, in the age group of 20-30 years-old. The scientific literature reports several invasive and minimally invasive surgical treatments that can be accompanied with digital planning. The aim of this case report was to describe the treatment of GS due to altered passive eruption type I subcategory A and levator labii superioris muscle hypermobility in a female patient corrected with surgical procedures and conservative methods such as digital planned botulinum toxin. The use of digital planning in GS reduction accompanied by conservative techniques such as botulinum toxin allows performing procedures with favorable postoperative results, less technical errors with predictable, safe, fast and consistent results according to patient's expectations.

8.
Molecules ; 27(2)2022 Jan 15.
Article de Anglais | MEDLINE | ID: mdl-35056860

RÉSUMÉ

A ferrofluid with 1,2-Benzenediol-coated iron oxide nanoparticles was synthesized and physicochemically analyzed. This colloidal system was prepared following the typical co-precipitation method, and superparamagnetic nanoparticles of 13.5 nm average diameter, 34 emu/g of magnetic saturation, and 285 K of blocking temperature were obtained. Additionally, the zeta potential showed a suitable colloidal stability for cancer therapy assays and the magneto-calorimetric trails determined a high power absorption density. In addition, the oxidative capability of the ferrofluid was corroborated by performing the Fenton reaction with methylene blue (MB) dissolved in water, where the ferrofluid was suitable for producing reactive oxygen species (ROS), and surprisingly a strong degradation of MB was also observed when it was combined with H2O2. The intracellular ROS production was qualitatively corroborated using the HT-29 human cell line, by detecting the fluorescent rise induced in 2,7-dichlorofluorescein diacetate. In other experiments, cell metabolic activity was measured, and no toxicity was observed, even with concentrations of up to 4 mg/mL of magnetic nanoparticles (MNPs). When the cells were treated with magnetic hyperthermia, 80% of cells were dead at 43 °C using 3 mg/mL of MNPs and applying a magnetic field of 530 kHz with 20 kA/m amplitude.


Sujet(s)
Colloïdes/composition chimique , Colloïdes/pharmacologie , Hyperthermie provoquée/méthodes , Nanoparticules magnétiques d'oxyde de fer/composition chimique , Espèces réactives de l'oxygène/métabolisme , Catéchols/composition chimique , Lignée cellulaire , Colloïdes/synthèse chimique , Cytotoxines/synthèse chimique , Cytotoxines/composition chimique , Cytotoxines/pharmacologie , Humains , Concentration en ions d'hydrogène , Magnétisme , Microscopie électronique à transmission , Oxydants/synthèse chimique , Oxydants/composition chimique , Oxydants/pharmacologie , Spectroscopie infrarouge à transformée de Fourier , Température , Diffraction des rayons X
9.
Biosensors (Basel) ; 10(10)2020 Oct 21.
Article de Anglais | MEDLINE | ID: mdl-33096879

RÉSUMÉ

Background: Several studies have shown that patients with cancer have antibodies in serum that react with cellular autoantigens, known as Tumor-Associated Antigens (TAA). The present work aimed to determine whether a mini-array comprising four recombinant TAA increases the detection of specific serum antibodies for the diagnosis of early-stage breast cancer. Methods: The mini-array included Alpha 1-AntiTrypsin (A1AT), TriosePhosphate Isomerase 1 (TPI1), Peptidyl-Prolyl cis-trans Isomerase A (PPIA), and PeroxiReDoXin 2 (PRDX2) full-length recombinant proteins. The proteins were produced after gene cloning, expression, and purification, and were verified by Western blot assays. Then, Dot-Blot was performed to find antibodies against the four TAA in 12 sera from women with early-stage breast cancer (stage II) and 12 sera from healthy women. Results: Antibody detection against individual TAA in early-stage breast cancer sera ranged from 58.3% to 83.3%. However, evaluation of the four TAA showed that there was a positive antibody reaction reaching a sensitivity of 100% and a specificity of 85% in early-stage breast cancer, suggesting that this mini-array must be evaluated as a clinical diagnostic tool for early-stage breast cancer in a larger sample size. Conclusion: Our results suggest that TAA mini-arrays may provide a promising and powerful method for improving the detection of breast cancer in Mexican women.


Sujet(s)
Marqueurs biologiques tumoraux/analyse , Techniques de biocapteur , Tumeurs du sein/diagnostic , Sérum/composition chimique , Adulte , Antigènes néoplasiques , Tumeurs du sein/sang , Femelle , Tests hématologiques , Humains , Adulte d'âge moyen
10.
Zootaxa ; 4830(3): zootaxa.4830.3.5, 2020 Aug 14.
Article de Anglais | MEDLINE | ID: mdl-33056146

RÉSUMÉ

The final instar of Neoerythromma cultellatum (Hagen in Selys, 1876) is redescribed and illustrated based upon reared specimens from Turrialba, Cartago, Costa Rica. This is a detailed complement of the original description provided by García-Díaz (1938) and illustrated with high quality photos of the larval morphology. The larva of N. cultellatum is characterized by a slender, spinulose, and yellow to yellowish-brown body, premental setae 3+1, five palpal setae, male cerci long, and caudal lamella lanceolate, with obvious node, spotted, and markedly tracheate.


Sujet(s)
Odonata , Animaux , Couleur , Larve , Mâle
11.
Zootaxa ; 4816(3): zootaxa.4816.3.3, 2020 Jul 17.
Article de Anglais | MEDLINE | ID: mdl-33055691

RÉSUMÉ

The larva of Archaeopodagrion fernandoi Bota-Sierra, 2017, is described and illustrated in detail, being the first larva described for the genus Archaeopodagrion. The description is based on F-0 larvae collected from the type locality. The larva of A. fernandoi shows great resemblance to larvae of Philogenia spp., which adds support to the hypothesis of the monophyletic family Philogeniidae which groups together Archaeopodagrion and Philogenia. However, both genera differ each other by the presence of basal, spiny, fleshy tubercles on caudal lamellae of Archaeopodagrion.


Sujet(s)
Odonata , Structures anatomiques de l'animal , Animaux , Mensurations corporelles , Larve , Rachis
12.
Zootaxa ; 4896(2): zootaxa.4896.2.7, 2020 Dec 21.
Article de Anglais | MEDLINE | ID: mdl-33756867

RÉSUMÉ

The Neotropical genus Epigomphus Hagen in Selys, 1854 groups 31 species distributed from Mexico to northern Argentina. Only two species have been recorded so far from Colombia. Here we present two new species found in the north of the Andean Colombian Cordillera Central, Epigomphus rufus sp. nov. and Epigomphus brillantina sp. nov. Full descriptions of adult male and female and adult male respectively, plus diagnoses, pictures of the diagnostic characteristics, natural history notes, and a distribution map are provided.


Sujet(s)
Odonata , Animaux , Colombie , Femelle , Mâle
13.
Rev Med Inst Mex Seguro Soc ; 58(Supl 1): S21-S31, 2020 04 27.
Article de Espagnol | MEDLINE | ID: mdl-34695313

RÉSUMÉ

BACKGROUND: Breast cancer is a multifactorial and heterogeneous disease with distinct molecular features and histopathologic subtypes involving different therapeutic responses and clinical outcomes. Classification of breast cancer in molecular subtypes has made possible an approach to develop therapeutic strategies in order to have a better understanding of the breast cancer development. Due to the heterogeneity of the disease, there are still features to be elucidated in the behavior, etiology and clinical outcomes of each molecular subtype in breast cancer. METHODS: Variables measured in 1,695 cases of invasive breast carcinoma were age, histopathological diagnosis, histopathological grade, expression of estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor-2 (HER2), cell proliferation marker (Ki67) and basal cytokeratins (CK 5/6). P values were obtained using Chi square test and hazard ratios were calculated with 95% confidence intervals. RESULTS: An increase of aggressive molecular subtypes of breast cancer was observed. The mean age of incidence of breast cancer patients is decreasing, and breast cancer Patients younger than 40-years-old showed higher risk to exhibit Triple negative and Basal-like tumors. CONCLUSIONS: The mean age for this pathology is decreasing in our population and there is predominance in the differential occurrence of etiologically distinct entities of breast cancer affecting to the young women.


INTRODUCCIÓN: El cáncer de mama es una enfermedad heterogénea y multifactorial. Presenta distintas características clínicas, moleculares e histopatológicas, las cuales se asocian con la respuesta a los esquemas terapéuticos, así como al resultado clínico. La clasificación en subtipos moleculares (luminales, HER2, triple negativo y basales) ha permitido el desarrollo y aplicación de estrategias terapéuticas particulares. Sin embargo, dada la gran heterogeneidad de la enfermedad, existen aún características por elucidar en el comportamiento, etiología y resultados clínicos de cada subtipo molecular de cáncer de mama. MÉTODOS: Se obtuvieron datos de 1695 casos de cáncer de mama invasor. Se realizaron correlaciones entre las siguientes variables: edad, diagnóstico histopatológico, grado histológico, expresión del receptor de estrógenos (ER), receptor de progesterona (PR), receptor 2 del factor de crecimiento epidérmico humano (HER2), marcador de proliferación celular (Ki67) y citoqueratinas basales (CK 5/6). Los valores de p fueron calculados utilizando Chi cuadrada y el cociente de riesgo fue calculado con un intervalo de confianza de 95%. RESULTADOS: Se observó un incremento en la frecuencia de los subtipos moleculares más agresivos, así como una disminución en el valor de la media de la edad en las pacientes diagnosticadas con cáncer de mama. El análisis de la información indica que en pacientes menores de 40 años existe mayor riesgo a la presencia de tumores triple negativo o basales. CONCLUSIONES: En población mexicana, la media de edad para el diagnóstico primario de cáncer de está disminuyendo y hay mayor frecuencia de subtipos moleculares más agresivos en pacientes jóvenes.

14.
Zootaxa ; 4688(4): zootaxa.4688.4.9, 2019 Oct 24.
Article de Anglais | MEDLINE | ID: mdl-31719432

RÉSUMÉ

The larva of Phyllogomphoides pugnifer Donnelly, 1979 is described for the first time based on reared specimens to emergence, and several F-0 larvae collected in Chiapas and Veracruz states, Mexico. The larva of P. pugnifer can be separated from other larvae of the genus by the length/width proportion of structures such as prementum, ligula, and abdominal segment 10, as well as length of cercus relative to epiproct.


Sujet(s)
Odonata , Structures anatomiques de l'animal , Animaux , Larve , Mexique
15.
Zootaxa ; 4624(2): zootaxa.4624.2.5, 2019 Jun 28.
Article de Anglais | MEDLINE | ID: mdl-31716224

RÉSUMÉ

Description of the final instar of Acanthagrion trilobatum Leonard, 1977 and A. speculum Garrison, 1985 is based on associated specimens from San José, Turrialba and Sarapiquí Provinces, Costa Rica. Illustrations of these two species and a comparative table summarizing the main features of all larvae of Acanthagrion described to date are provided. The larva of A. trilobatum is distinguished from that of A. speculum by shorter lateral caudal lamellae (length 7 mm vs. 8.2 mm), lateral carina of abdominal segments 2-8 with spiniform setae on posterior 1/3 (lateral carinae of only S6-8 with spiniform setae in A. speculum), and male gonapophyses incurved (straight in A. speculum).


Sujet(s)
Coléoptères , Odonata , Animaux , Costa Rica , Larve , Mâle , Instruments chirurgicaux
16.
Zootaxa ; 4565(1): zootaxa.4565.1.12, 2019 Mar 07.
Article de Anglais | MEDLINE | ID: mdl-31716498

RÉSUMÉ

The probable larva of Anotogaster gregoryi Fraser, 1923 is described for the first time by supposition based upon four F-0 larvae collected in the provinces of Loei and Phitsanulok, which are new province records for Anotogaster in Thailand.


Sujet(s)
Odonata , Animaux , Larve , Thaïlande
17.
Zootaxa ; 4634(1): zootaxa.4634.1.1, 2019 Jul 12.
Article de Anglais | MEDLINE | ID: mdl-31712493

RÉSUMÉ

A synopsis of the 13 species of Phyllogomphoides Belle, 1970 known to occur within Mexico is presented. Taxonomic keys for males are based primarily on morphology of anterior and posterior hamules, caudal appendages and of the vulvar lamina in females and includes full descriptions for each species accompanied by high-resolution photographs, drawings, comparative diagnostic notes, natural history and distribution maps. Females of P. danieli González Novelo, 1990 and P. nayaritensis Belle, 1987 are described for the first time. Moreover, new records for P. albrighti (Needham, 1950) for the states of Guerrero; P. danieli González Novelo, 1990 for Colima, Guerrero and San Luis Potosí; P. duodentatus Donnelly, 1979 for Oaxaca; P. luisi González Novelo, 1990 for Nayarit, and P. pugnifer Donnelly, 1979 for San Luis Potosí, are also provided.


Sujet(s)
Coléoptères , Odonata , Araignées , Répartition des animaux , Animaux , Femelle , Mâle , Mexique
18.
Zootaxa ; 4555(1): 121-126, 2019 Feb 12.
Article de Anglais | MEDLINE | ID: mdl-30790952

RÉSUMÉ

The larva of Amphigomphus somnuki Hämäläinen, 1996 is described for the first time based on an emerged male specimen from Chiang Mai Province, and several F-0 larvae collected in other provinces of Thailand. The larva of A. somnuki is the smallest and differs from A. nakamurai Karube, 2001 by the caudal appendages densely covered with minute spiniform setae, and from A. hansoni Chao, 1954 by the male epiproct with the dorsal tubercles at 0.65 the length of the epiproct. New province records for A. somnuki and the first records of Stylogomphus Fraser, 1922 for Thailand are provided.


Sujet(s)
Odonata , Animaux , Larve , Mâle , Thaïlande
19.
Zootaxa ; 4700(3): zootaxa.4700.3.6, 2019 Nov 20.
Article de Anglais | MEDLINE | ID: mdl-32229977

RÉSUMÉ

The larva of Phaenandrogomphus tonkinicus (Fraser, 1926) is described for the first time based on several F-0 larvae collected in Chiang Mai and Nan provinces of Thailand. The larva of P. tonkinicus differs from that of P. asthenes Lieftinck, 1964 by having the 3rd antennomere mesal margin strongly convex, 4th antennomere vestigial and dome-like, postclypeus thick and shelf-like, S8 lacking a posterolateral spine, and cerci usually shorter than the epiproct. New Thailand province records of P. asthenes also are provided.


Sujet(s)
Odonata , Animaux , Larve , Thaïlande
20.
Rev. urug. cardiol ; 33(3): 64-95, dic. 2018. tab, graf
Article de Espagnol | LILACS | ID: biblio-979059

RÉSUMÉ

Resumen: Introducción: el fenómeno de no reflujo (NR) coronario se define como la persistencia de un flujo inadecuado menor a TIMI 3 durante la angioplastia coronaria (ATC), en ausencia de obstáculo macroscópico en las arterias coronarias epicárdicas. Objetivo principal: determinar la incidencia de NR en pacientes tratados con ATC por cualquier indicación. Objetivos secundarios: describir las características clínicas y angiográficas de la población con NR, características del procedimiento de angioplastia, así como el tratamiento y el valor pronóstico del NR. Métodos: estudio observacional, prospectivo, unicéntrico, sobre el total de ATC realizadas en un centro de cardiología intervencionista entre octubre de 2016 y enero de 2017, excluyendo la reestenosis intrastent y la enfermedad de injertos venosos. Se definieron dos grupos: control (flujo normal) y con fenómeno de NR. Se analizaron variables clínicas, angiográficas, terapéuticas y pronósticas. Resultados: se incluyó un total de 322 pacientes, 291 control y 31 NR. La incidencia de NR fue de 9,6%, presentándose en 20,7% de los síndromes coronarios agudos con elevación de ST (SCAcST), en 6,3% de los síndromes coronarios agudos sin elevación de ST (SCAsST) y en 3% de las anginas estables. La adenosina a dosis altas fue el tratamiento más utilizado. Se comprobó una mejoría significativa del flujo coronario evaluado por TIMI Frame Count asociado al tratamiento instituido (39,4±1,6 pretratamiento vs 21,9±1,2 postratamiento, p<0,001). A tres meses, en los pacientes con NR vesus control se observó una mayor incidencia de ángor (6,6% vs 1,1% respectivamente, p=0,001), nueva coronariografía (10% vs 1,1%, p=0,017) y nueva ATC (19% vs 1,1%, p=0,009). Conclusiones: la incidencia de NR en pacientes sometidos a ATC fue de 9,6%, presentándose más frecuentemente en el SCAcST. La adenosina intracoronaria a dosis altas fue el tratamiento más frecuentemente instituido y fue eficaz para mejorar significativamente el flujo coronario.


Summary: Introduction: no-reflow phenomenon is defined as persistence of inadequate flow less than TIMI 3 during coronary angioplasty in the absence of an obstacle in epicardial coronary arteries. Primary endpoint: to determine the incidence of no-reflow in patients treated with coronary angioplasty performed for any indication. Secondary endpoints: to describe the clinical and angiographic characteristics, procedural characteristics, treatment and prognostic value of no-reflow phenomenon. Methods: this is an observational, prospective and unicentric trial including all coronary angioplasties performed in an interventional Cardiology center between October 2016 and January 2017, excluding instent reestenosis and coronary vein grafts disease. Two groups were defined: control (normal coronary flow) and no-reflow phenomenon. Clinical, angiographic and prognostic variables were analyzed. Results: 322 patients were included, 291 control and 31 no-reflow. No-reflow incidence was 9.6%, occurring in 20.7% of acute coronary syndromes with ST segment elevation, 6.3% in non-ST segment elevation syndromes and 3% in stable coronary artery disease. High dose adenosine was the most frequently used agent for no-reflow treatment. No-reflow treatment was associated with a significant improvement in coronary flow measured by TIMI Frame Count (39.4±1.6 pretreatment vs 21.9±1.2 postreatment, p<0.001). At 3 month follow up, no-reflow patients vs control had a higher incidence of angina pectoris (6.6% vs 1.1% respectively, p=0.001), coronary angiography (10% vs 1.1%, p=0.017) and coronary angioplasty (19% vs 1.1%, p=0.009). Conclusions: no-reflow incidence in patients treated with coronary angioplasty was 9.6%, occurring more frequently in ST segment elevation syndromes. High dose adenosine was the most frequently used agent for no-reflow treatment and significantly improved coronary flow.

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